Research Database: Article Details

Citation:  Frounfelker, R.L., Wilkniss, S.M., Bond, G.R., Devitt, T.S., & Drake, R.E. (2011). Enrollment in supported employment services for clients with a co-occurring disorder. Psychiatric Services, 62 (5), 545-547.
Title:  Enrollment in supported employment services for clients with a co-occurring disorder
Authors:  Frounfelker, R.L., Wilkniss, S.M., Bond, G.R., Devitt, T.S., & Drake, R.E.
Year:  2011
Journal/Publication:  Psychiatric Services
Publisher:  American Psychiatric Association
DOI:  https://doi.org/10.1176/ps.62.5.pss6205_0545
Full text:  https://www.ncbi.nlm.nih.gov/pubmed/21532083    |   PDF   
Peer-reviewed?  Yes
NIDILRR-funded?  Not reported
Research design:  Database mining

Structured abstract:

Background:  People with serious psychiatric disorders often experience "co-occurring substance use disorders" (p. 545). Therefore, they require integrated services and employment offers "a meaningful activity that supports recovery" (p. 545).
Purpose:  The study examined "the relationship between co-occurring disorders and enrollment in supported employment services among clients with serious mental illness" (p. 545).
Setting:  The setting was Thresholds Psychiatric Rehabilitation Centers in Chicago Illinois.
Study sample:  The study sample included 1,748 clients who were admitted to Thresholds services between January 2008 and December 2009 (p. 545).
Intervention:  The intervention was supported employment for people with chronic mental illness with co-occurring substance use disorders
Control or comparison condition:  The comparison condition was supported employment for people with chronic mental illness without substance use disorders.
Data collection and analysis:  Data was retrieved from electronic medical records at Thresholds Psychiatric Rehabilitation Center in Chicago and analyzed for clients admitted during a 2-year period.
Findings:  Clients with a co-occurring substance use disorder were 52% less likely to enroll in a supported employment program. However, of those that did enter the program, the competitive employment outcomes for both groups was similar.
Conclusions:  People with chronic mental illness and co-occurring substance use disorders are interested in competitive employment; however, they have difficulty accessing supported employment programs and are successful once they do.

Disabilities served:  Alcohol and drug abuse
Chronic mental illness
Populations served:  Gender: Female and Male
Race: Black / African American
Race: White / Caucasian
Ethnicity: Hispanic or Latino
Interventions:  Supported employment
Outcomes:  Employment acquisition